Bacon, Marc

Bacon, Marc is an individual health care provider with primary practice located at 125 Parker Hill Ave New England Baptist Hospital, Boston MA 02120-2847. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nutrition Support. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Bacon, Marc can be contacted via phone (617) 754-5787.

Contact Information

Primary practice address
125 Parker Hill Ave New England Baptist Hospital Boston MA 02120-2847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 21311 Massachusetts
Pharmacy Service Providers / Nutrition Support 1835N1003X 21311 Massachusetts

Profile Details

NPI number 1730307166
LBN Legal business name Bacon, Marc
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Oct 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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